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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">biopreparat</journal-id><journal-title-group><journal-title xml:lang="ru">БИОпрепараты. Профилактика, диагностика, лечение</journal-title><trans-title-group xml:lang="en"><trans-title>Biological Products. Prevention, Diagnosis, Treatment</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2221-996X</issn><issn pub-type="epub">2619-1156</issn><publisher><publisher-name>Scientific Centre for Expert Evaluation of Medicinal Products</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30895/2221-996X-2025-580</article-id><article-id custom-type="elpub" pub-id-type="custom">biopreparat-580</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ТЕМА НОМЕРА: ТРЕНДЫ КОНТРОЛЯ КАЧЕСТВА И СТАНДАРТИЗАЦИИ БИОЛОГИЧЕСКИХ ЛЕКАРСТВЕННЫХ ПРЕПАРАТОВ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ISSUE TOPIC: TRENDS IN QUALITY CONTROL AND STANDARDISATION OF BIOLOGICALS</subject></subj-group></article-categories><title-group><article-title>Реализация концепции Quality by Design для генотерапевтического лекарственного препарата на основе аденоассоциированного вирусного вектора</article-title><trans-title-group xml:lang="en"><trans-title>Implementation of the quality-by-design concept for an adeno-associated viral vector-based gene therapy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1176-5829</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Копеин</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kopein</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Копеин Дамир Сергеевич, канд. биол. наук</p><p>ул. Тестовская, д. 10, Москва, 123112</p></bio><bio xml:lang="en"><p>Damir S. Kopein, Cand. Sci. (Biol.)</p><p>10 Testovskaya St., Moscow 123112</p></bio><email xlink:type="simple">kopein@generium.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3754-9198</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Порошин</surname><given-names>Г. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Poroshin</surname><given-names>G. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Порошин Григорий Николаевич</p><p>ул. Тестовская, д. 10, Москва, 123112</p></bio><bio xml:lang="en"><p>Grigory N. Poroshin</p><p>10 Testovskaya St., Moscow 123112</p></bio><email xlink:type="simple">g.poroshin@generium.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1314-894X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хамитов</surname><given-names>Р. A.</given-names></name><name name-style="western" xml:lang="en"><surname>Khamitov</surname><given-names>R. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хамитов Равиль Aвгатович, д-р мед. наук, проф.</p><p>ул. Тестовская, д. 10, Москва, 123112</p></bio><bio xml:lang="en"><p>Ravil A. Khamitov, Dr. Sci. (Med.), Prof.</p><p>10 Testovskaya St., Moscow 123112</p></bio><email xlink:type="simple">khamitov@ibcgenerium.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Акционерное общество «ГЕНЕРИУМ»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>GENERIUM JSC</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>25</day><month>06</month><year>2025</year></pub-date><volume>25</volume><issue>2</issue><fpage>141</fpage><lpage>155</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Копеин Д.С., Порошин Г.Н., Хамитов Р.A., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Копеин Д.С., Порошин Г.Н., Хамитов Р.A.</copyright-holder><copyright-holder xml:lang="en">Kopein D.S., Poroshin G.N., Khamitov R.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.biopreparations.ru/jour/article/view/580">https://www.biopreparations.ru/jour/article/view/580</self-uri><abstract><sec><title>ВВЕДЕНИЕ</title><p>ВВЕДЕНИЕ. Производители генотерапевтических лекарственных препаратов на основе аденоассоциированных вирусов (ААВ) сталкиваются в настоящее время с рядом системных проблем, в основе которых лежат трудности в оценке качества препаратов из-за недостаточной базы научных данных, опыта и несовершенства нормативных и регуляторных требований. Риск-ориентированный подход для оценки критических показателей качества в рамках концепции «качество через дизайн» (Quality by Design, QbD) обеспечивает повышение эффективности разработки и производства высокотехнологичных лекарственных препаратов.</p></sec><sec><title>ЦЕЛЬ</title><p>ЦЕЛЬ. Определение критических показателей качества и их диапазонов при разработке генотерапевтических лекарственных препаратов на основе ААВ для лечения миодистрофии Дюшенна в рамках реализации концепции «качество через дизайн» (QbD).</p></sec><sec><title>ОБСУЖДЕНИЕ</title><p>ОБСУЖДЕНИЕ. Проведен анализ подходов к разработке технологии производства ААВ с использованием концепции QbD. Обоснован перечень основных характеристик ААВ и доступных данных об их влиянии на пациентов с точки зрения эффективности и безопасности, в том числе иммунного ответа на лечение. Проведена оценка рисков и определен перечень критических показателей качества ААВ. В ходе разработки процесса производства ААВ определены диапазоны значений для показателей качества ААВ вектора: вирусный и инфекционный титры, наличие репликативно-компетентных AАВ, содержание пустых капсидов и остаточных примесей (белки, плазмидная ДНК и остаточная ДНК продуцента). Проведена комплексная оценка рисков при определении целевого профиля продукта — препарата на основе ААВ для лечения миодистрофии Дюшенна. Разработан перечень критических показателей качества препарата и основные требования к аналитическим методикам, а также установлены диапазоны значений параметров для контроля качества продукта.</p></sec><sec><title>ЗАКЛЮЧЕНИЕ</title><p>ЗАКЛЮЧЕНИЕ. Применение концепции QbD и риск-ориентированного подхода является важным этапом в идентификации критических показателей качества при разработке генотерапевтических лекарственных препаратов. Использование методологии QbD позволяет сформировать новые регуляторные стандарты оценки безопасности и эффективности генотерапевтических препаратов, а также осуществлять их фармацевтическую разработку и промышленное производство.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>INTRODUCTION</title><p>INTRODUCTION. Currently, manufacturers of adeno-associated virus (AAV)-based gene therapy products are facing a number of systemic problems stemming from the difficulties in assessing the quality of medicinal products due to insufficient scientific data, limited experience, and imperfect regulatory requirements. However, a risk-based approach to assessing critical quality attributes (CQAs) within the the framework of Quality by Design (QbD) can ensure improved efficiency in the development and production of advanced therapy medicinal products.</p></sec><sec><title>AIM</title><p>AIM. This study aimed to identify QbD-based CQAs and associated specifications for the development of AAV-based gene therapy products for Duchenne muscular dystrophy.</p></sec><sec><title>DISCUSSION</title><p>DISCUSSION. This study involved an analysis of QbD-based approaches to the development of AAV production technologies. The authors substantiated a list of the main AAV characteristics and collated available data on their impact on patients in terms of the efficacy and safety of gene therapy products and, in particular, the immune response to treatment. Following a risk assessment, the authors identified a list of CQAs for AAVs. When developing an AAV production process, the authors determined specifications for AAV CQAs, including viral and infectious titres, the presence of replication-competent AAVs, the percentage of empty capsids, and residual impurities (proteins, plasmid DNA, and residual host-cell DNA). A comprehensive risk assessment was conducted to determine the quality target product profile for an AAV-based gene therapy product for Duchenne muscular dystrophy. The authors listed the CQAs, developed the basic requirements for the applicable analytical procedures, and established the CQA specifications for the gene therapy product.</p></sec><sec><title>CONCLUSIONS</title><p>CONCLUSIONS. The use of QbD principles and risk-based approaches is an important step in CQA identification during the development of gene therapy products. The QbD methodology facilitates drafting new regulatory standards for the evaluation of the safety and efficacy of gene therapy products and helps with the development and commercial-scale manufacturing of such products.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>генная терапия</kwd><kwd>генотерапевтический лекарственный препарат</kwd><kwd>аденоассоциированный вирус</kwd><kwd>ААВ</kwd><kwd>аденоассоциированный вирусный вектор</kwd><kwd>Quality by Design</kwd><kwd>критические показатели качества</kwd><kwd>целевой профиль качества препарата</kwd><kwd>риск-ориентированный подход</kwd><kwd>технология получения ААВ</kwd><kwd>миодистрофия Дюшенна</kwd></kwd-group><kwd-group xml:lang="en"><kwd>gene therapy</kwd><kwd>advanced therapy medicinal product</kwd><kwd>ATMP</kwd><kwd>adeno-associated virus</kwd><kwd>AAV</kwd><kwd>adenoassociated viral vector</kwd><kwd>Quality by Design</kwd><kwd>QbD</kwd><kwd>critical quality attribute</kwd><kwd>CQA</kwd><kwd>quality target product profile</kwd><kwd>QTPP</kwd><kwd>risk-based approach</kwd><kwd>AAV production technology</kwd><kwd>Duchenne muscular dystrophy</kwd><kwd>DMD</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Солдатов АА, Авдеева ЖИ, Горенков ДВ, Хантимирова ЛМ, Гусева СГ, Меркулов ВА. Проблемные аспекты разработки и регистрации генотерапевтических препаратов. БИОпрепараты. Профилактика, диагностика, лечение. 2022;22(1):6–22. https://doi.org/10.30895/2221-996X-2022-22-1-6-22</mixed-citation><mixed-citation xml:lang="en">Soldatov AA, Avdeeva ZhI, Gorenkov DV, Khantimirova LM, Guseva SG, Merkulov VA. Challenges in development and authorisation of gene therapy products. Biological Products. Prevention, Diagnosis, Treatment. 2022;22(1):6–22 (In Russ.). https://doi.org/10.30895/2221-996X-2022-22-1-6-22</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Kolesnik VV, Nurtdinov RF, Oloruntimehin ES, Karabelsky AV, Malogolovkin AS. Optimization strategies and advances in the research and development of AAV-based gene therapy to deliver large transgenes. Clin Transl Med. 2024;14(3):e1607. https://doi.org/10.1002/ctm2.1607</mixed-citation><mixed-citation xml:lang="en">Kolesnik VV, Nurtdinov RF, Oloruntimehin ES, Karabelsky AV, Malogolovkin AS. Optimization strategies and advances in the research and development of AAV-based gene therapy to deliver large transgenes. Clin Transl Med. 2024;14(3):e1607. https://doi.org/10.1002/ctm2.1607</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Егорова ТВ, Пискунов АА, Потеряев ДА. Генная терапия наследственных заболеваний на основе аденоассоциированных вирусных векторов: современные проблемы применения и пути их решения. БИОпрепараты. Профилактика, диагностика, лечение. 2024;24(2):123–39. https://doi.org/10.30895/2221-996X-2024-24-2-123-139</mixed-citation><mixed-citation xml:lang="en">Egorova TV, Piskunov AA, Poteryaev DA. Adeno-associated virus vector-based gene therapy for hereditary diseases: Current problems of application and approaches to solve them. Biological Products. Prevention, Diagnosis, Treatment. 2024;24(2):123–39 (In Russ.). https://doi.org/10.30895/2221-996X-2024-24-2-123-139</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Daya S, Berns KI. Gene therapy using adeno-associated virus vectors. Clin Microbiol Rev. 2008;21(4):583–93. https://doi.org/10.1128/CMR.00008-08</mixed-citation><mixed-citation xml:lang="en">Daya S, Berns KI. Gene therapy using adeno-associated virus vectors. Clin Microbiol Rev. 2008;21(4):583–93. https://doi.org/10.1128/CMR.00008-08</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Brister JR, Muzyczka N. Mechanism of Rep-mediated adeno-associated virus origin nicking. J Virol. 2000;74(17):7762–71. https://doi.org/10.1128/JVI.74.17.7762-7771.2000</mixed-citation><mixed-citation xml:lang="en">Brister JR, Muzyczka N. Mechanism of Rep-mediated adeno-associated virus origin nicking. J Virol. 2000;74(17):7762–71. https://doi.org/10.1128/JVI.74.17.7762-7771.2000</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">McCarty DM, Ryan JH, Zolotukhin S, Zhou X, Muzyczka N. Interaction of the adeno-associated virus Rep protein with a sequence within the A palindrome of the viral terminal repeat. J Virol. 1994;68(8):4998–5006. https://doi.org/10.1128/jvi.68.8.4998-5006.1994</mixed-citation><mixed-citation xml:lang="en">McCarty DM, Ryan JH, Zolotukhin S, Zhou X, Muzyczka N. Interaction of the adeno-associated virus Rep protein with a sequence within the A palindrome of the viral terminal repeat. J Virol. 1994;68(8):4998–5006. https://doi.org/10.1128/jvi.68.8.4998-5006.1994</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Issa SS, Shaimardanova AA, Solovyeva VV, Rizvanov AA. Various AAV serotypes and their applications in gene therapy: An overview. Cells. 2023;12(5):785. https://doi.org/10.3390/cells12050785</mixed-citation><mixed-citation xml:lang="en">Issa SS, Shaimardanova AA, Solovyeva VV, Rizvanov AA. Various AAV serotypes and their applications in gene therapy: An overview. Cells. 2023;12(5):785. https://doi.org/10.3390/cells12050785</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Wang J-H, Gessler DJ, Zhan W, Gallagher TL, Gao G. Adeno-associated virus as a delivery vector for gene therapy of human diseases. Signal Transduct Target Ther. 2024;9(1):78. https://doi.org/10.1038/s41392-024-01780-w</mixed-citation><mixed-citation xml:lang="en">Wang J-H, Gessler DJ, Zhan W, Gallagher TL, Gao G. Adeno-associated virus as a delivery vector for gene therapy of human diseases. Signal Transduct Target Ther. 2024;9(1):78. https://doi.org/10.1038/s41392-024-01780-w</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Penaud-Budloo M, François A, Clément N, Ayuso E. Pharmacology of recombinant adeno-associated virus production. Mol Ther Methods Clin Dev. 2018;8:166–80. https://doi.org/10.1016/j.omtm.2018.01.002</mixed-citation><mixed-citation xml:lang="en">Penaud-Budloo M, François A, Clément N, Ayuso E. Pharmacology of recombinant adeno-associated virus production. Mol Ther Methods Clin Dev. 2018;8:166–80. https://doi.org/10.1016/j.omtm.2018.01.002</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Juran JM. Juran on quality by design: the new steps for planning quality into goods and services. Free Press; 1992.</mixed-citation><mixed-citation xml:lang="en">Juran JM. Juran on quality by design: the new steps for planning quality into goods and services. Free Press; 1992.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">François A, Bouzelha M, Lecomte E, Broucque F, Penaud-Budloo M, Adjali O, et al. Accurate titration of infectious AAV particles requires measurement of biologically active vector genomes and suitable controls. Mol Ther Methods Clin Dev. 2018;10:223–36. https://doi.org/10.1016/j.omtm.2018.07.004</mixed-citation><mixed-citation xml:lang="en">François A, Bouzelha M, Lecomte E, Broucque F, Penaud-Budloo M, Adjali O, et al. Accurate titration of infectious AAV particles requires measurement of biologically active vector genomes and suitable controls. Mol Ther Methods Clin Dev. 2018;10:223–36. https://doi.org/10.1016/j.omtm.2018.07.004</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Gimpel AL, Katsikis G, Sha S, Maloney AJ, Hong MS, Nguyen TNT, et al. Analytical methods for process and product characterization of recombinant adeno-associated virus-based gene therapies. Mol Ther Methods Clin Dev. 2021;20:740–54. https://doi.org/10.1016/j.omtm.2021.02.010</mixed-citation><mixed-citation xml:lang="en">Gimpel AL, Katsikis G, Sha S, Maloney AJ, Hong MS, Nguyen TNT, et al. Analytical methods for process and product characterization of recombinant adeno-associated virus-based gene therapies. Mol Ther Methods Clin Dev. 2021;20:740–54. https://doi.org/10.1016/j.omtm.2021.02.010</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Lock M, Alvira MR, Chen S-J, Wilson JM. Absolute determination of single-stranded and self-complementary adeno-associated viral vector genome titers by droplet digital PCR. Human Gene Ther Methods. 2014;25(2):115–25. https://doi.org/10.1089/hgtb.2013.131</mixed-citation><mixed-citation xml:lang="en">Lock M, Alvira MR, Chen S-J, Wilson JM. Absolute determination of single-stranded and self-complementary adeno-associated viral vector genome titers by droplet digital PCR. Human Gene Ther Methods. 2014;25(2):115–25. https://doi.org/10.1089/hgtb.2013.131</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Dobnik D, Kogovsek P, Jakomin T, Kosir N, Tusek Znidaric M, Leskovec M, et al. Accurate quantification and characterization of adeno-associated viral vectors. Front Microbiol. 2019;10:1570. https://doi.org/10.3389/fmicb.2019.01570</mixed-citation><mixed-citation xml:lang="en">Dobnik D, Kogovsek P, Jakomin T, Kosir N, Tusek Znidaric M, Leskovec M, et al. Accurate quantification and characterization of adeno-associated viral vectors. Front Microbiol. 2019;10:1570. https://doi.org/10.3389/fmicb.2019.01570</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Gao K, Li M, Zhong L, Su Q, Li J, Li S, et al. Empty virions in AAV8 vector preparations reduce transduction efficiency and may cause total viral particle dose-limiting side effects. Mol Ther Methods Clin Dev. 2014;1(9):20139. https://doi.org/10.1038/mtm.2013.9</mixed-citation><mixed-citation xml:lang="en">Gao K, Li M, Zhong L, Su Q, Li J, Li S, et al. Empty virions in AAV8 vector preparations reduce transduction efficiency and may cause total viral particle dose-limiting side effects. Mol Ther Methods Clin Dev. 2014;1(9):20139. https://doi.org/10.1038/mtm.2013.9</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Grieger JC, Soltys SM, Samulski RJ. Production of recombinant adeno-associated virus vectors using suspension HEK293 cells and continuous harvest of vector from the culture media for GMP FIX and FLT1 clinical vector. Mol Ther. 2016;24(2):287–97. https://doi.org/10.1038/mt.2015.187</mixed-citation><mixed-citation xml:lang="en">Grieger JC, Soltys SM, Samulski RJ. Production of recombinant adeno-associated virus vectors using suspension HEK293 cells and continuous harvest of vector from the culture media for GMP FIX and FLT1 clinical vector. Mol Ther. 2016;24(2):287–97. https://doi.org/10.1038/mt.2015.187</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Allay JA, Sleep S, Long S, Tillman DM, Clark R, Carney G, et al. Good manufacturing practice production of self-complementary serotype 8 adeno-associated viral vector for a hemophilia B clinical trial. Hum Gene Ther. 2011;22(5):595–604. https://doi.org/10.1089/hum.2010.202</mixed-citation><mixed-citation xml:lang="en">Allay JA, Sleep S, Long S, Tillman DM, Clark R, Carney G, et al. Good manufacturing practice production of self-complementary serotype 8 adeno-associated viral vector for a hemophilia B clinical trial. Hum Gene Ther. 2011;22(5):595–604. https://doi.org/10.1089/hum.2010.202</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Kaspar BK, Hatfield JM, Balleydier J, Kaspar AA, Hodge RE. Means and method for producing and purifying viral vectors. Patent of the United States No. US 2021/0317474 A1; 2021.</mixed-citation><mixed-citation xml:lang="en">Kaspar BK, Hatfield JM, Balleydier J, Kaspar AA, Hodge RE. Means and method for producing and purifying viral vectors. Patent of the United States No. US 2021/0317474 A1; 2021.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Yang TY, Braun M, Lembke W, McBlane F, Kamerud J, DeWall S, et al. Immunogenicity assessment of AAV-based gene therapies: An IQ consortium industry white paper. Mol Ther Methods Clin Dev. 2022;26:471–94. https://doi.org/10.1016/j.omtm.2022.07.018</mixed-citation><mixed-citation xml:lang="en">Yang TY, Braun M, Lembke W, McBlane F, Kamerud J, DeWall S, et al. Immunogenicity assessment of AAV-based gene therapies: An IQ consortium industry white paper. Mol Ther Methods Clin Dev. 2022;26:471–94. https://doi.org/10.1016/j.omtm.2022.07.018</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Martino AT, Suzuki M, Markusic DM, Zolotukhin I, Ryals RC, Moghimi B, et al. The genome of self-complementary adeno-associated viral vectors increases Toll-like receptor 9–dependent innate immune responses in the liver. Blood. 2011;117(24):6459–68. https://doi.org/10.1182/blood-2010-10-314518</mixed-citation><mixed-citation xml:lang="en">Martino AT, Suzuki M, Markusic DM, Zolotukhin I, Ryals RC, Moghimi B, et al. The genome of self-complementary adeno-associated viral vectors increases Toll-like receptor 9–dependent innate immune responses in the liver. Blood. 2011;117(24):6459–68. https://doi.org/10.1182/blood-2010-10-314518</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Kishimoto TK, Samulski RJ. Addressing high dose AAV toxicity — ‘one and done’ or ‘slower and lower’? Expert Opin Biol Ther. 2022;22(9):1067–71. https://doi.org/10.1080/14712598.2022.2060737</mixed-citation><mixed-citation xml:lang="en">Kishimoto TK, Samulski RJ. Addressing high dose AAV toxicity — ‘one and done’ or ‘slower and lower’? Expert Opin Biol Ther. 2022;22(9):1067–71. https://doi.org/10.1080/14712598.2022.2060737</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Allen JM, Debelak DJ, Reynolds TC, Miller AD. Identification and elimination of replication-competent adeno-associated virus (AAV) that can arise by nonhomologous recombination during AAV vector production. J Virol. 1997;71(9):6816–22. https://doi.org/10.1128/jvi.71.9.6816-6822.1997</mixed-citation><mixed-citation xml:lang="en">Allen JM, Debelak DJ, Reynolds TC, Miller AD. Identification and elimination of replication-competent adeno-associated virus (AAV) that can arise by nonhomologous recombination during AAV vector production. J Virol. 1997;71(9):6816–22. https://doi.org/10.1128/jvi.71.9.6816-6822.1997</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Song L, Samulski RJ, Hirsch ML. Adeno-associated virus vector mobilization, risk versus reality. Hum Gene Ther. 2020;31(19–20):1054–67. https://doi.org/10.1089/hum.2020.118</mixed-citation><mixed-citation xml:lang="en">Song L, Samulski RJ, Hirsch ML. Adeno-associated virus vector mobilization, risk versus reality. Hum Gene Ther. 2020;31(19–20):1054–67. https://doi.org/10.1089/hum.2020.118</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Wright J. Product-related impurities in clinical-grade recombinant AAV vectors: Characterization and risk assessment. Biomedicines. 2014;2(1):80–97. https://doi.org/10.3390/biomedicines2010080</mixed-citation><mixed-citation xml:lang="en">Wright J. Product-related impurities in clinical-grade recombinant AAV vectors: Characterization and risk assessment. Biomedicines. 2014;2(1):80–97. https://doi.org/10.3390/biomedicines2010080</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Giles AR, Sims JJ, Turner KB, Govandasamy L, Alvira MR, Lock M, Wilson JM. Deamidation of amino acids on the surface of adeno-associated virus capsids leads to charge heterogeneity and altered vector function. Mol Ther. 2018;26(12):2848–62. https://doi.org/10.1016/j.ymthe.2018.09.013</mixed-citation><mixed-citation xml:lang="en">Giles AR, Sims JJ, Turner KB, Govandasamy L, Alvira MR, Lock M, Wilson JM. Deamidation of amino acids on the surface of adeno-associated virus capsids leads to charge heterogeneity and altered vector function. Mol Ther. 2018;26(12):2848–62. https://doi.org/10.1016/j.ymthe.2018.09.013</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Rumachik NG, Malaker SA, Poweleit N, Maynard LH, Adams CM, Leib RD, et al. Methods matter: Standard production platforms for recombinant AAV produce chemically and functionally distinct vectors. Mol Ther Methods Clin Dev. 2020;18:98–118. https://doi.org/10.1016/j.omtm.2020.05.018</mixed-citation><mixed-citation xml:lang="en">Rumachik NG, Malaker SA, Poweleit N, Maynard LH, Adams CM, Leib RD, et al. Methods matter: Standard production platforms for recombinant AAV produce chemically and functionally distinct vectors. Mol Ther Methods Clin Dev. 2020;18:98–118. https://doi.org/10.1016/j.omtm.2020.05.018</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Murray S, Nilsson CL, Hare JT, Emmett MR, Korostelev A, Ongley H, et al. Characterization of the capsid protein glycosylation of adeno-associated virus type 2 by high-resolution mass spectrometry. J Virol. 2006;80(12):6171–6. https://doi.org/10.1128/JVI.02417-05</mixed-citation><mixed-citation xml:lang="en">Murray S, Nilsson CL, Hare JT, Emmett MR, Korostelev A, Ongley H, et al. Characterization of the capsid protein glycosylation of adeno-associated virus type 2 by high-resolution mass spectrometry. J Virol. 2006;80(12):6171–6. https://doi.org/10.1128/JVI.02417-05</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Aloor A, Zhang J, Gashash EA, Parameswaran A, Chrzanowski M, Ma C, et al. Site-specific N-glycosylation on the AAV8 capsid protein. Viruses. 2018;10(11):644. https://doi.org/10.3390/v10110644</mixed-citation><mixed-citation xml:lang="en">Aloor A, Zhang J, Gashash EA, Parameswaran A, Chrzanowski M, Ma C, et al. Site-specific N-glycosylation on the AAV8 capsid protein. Viruses. 2018;10(11):644. https://doi.org/10.3390/v10110644</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Lecomte E, Tournaire B, Cogne B, Dupont JB, Lindenbaum P, Martin-Fontaine M, et al. Advanced characterization of DNA molecules in rAAV vector preparations by single-stranded virus next-generation sequencing. Mol Ther Nucleic Acids. 2015;4(10):e260. https://doi.org/10.1038/mtna.2015.32</mixed-citation><mixed-citation xml:lang="en">Lecomte E, Tournaire B, Cogne B, Dupont JB, Lindenbaum P, Martin-Fontaine M, et al. Advanced characterization of DNA molecules in rAAV vector preparations by single-stranded virus next-generation sequencing. Mol Ther Nucleic Acids. 2015;4(10):e260. https://doi.org/10.1038/mtna.2015.32</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Sheng L, Cai F, Zhu Y, Pal A, Athanasiou M, Orrison B, et al. Oncogenicity of DNA in vivo: Tumor induction with expression plasmids for activated H-ras and c-myc. Biologicals. 2008;36(3):184–97. https://doi.org/10.1016/j.biologicals.2007.11.003</mixed-citation><mixed-citation xml:lang="en">Sheng L, Cai F, Zhu Y, Pal A, Athanasiou M, Orrison B, et al. Oncogenicity of DNA in vivo: Tumor induction with expression plasmids for activated H-ras and c-myc. Biologicals. 2008;36(3):184–97. https://doi.org/10.1016/j.biologicals.2007.11.003</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Hauck B, Murphy SL, Smith PH, Qu G, Liu X, Zelenaia O, et al. Undetectable transcription of cap in a clinical AAV vector: Implications for preformed capsid in immune responses. Mol Ther. 2009;17(1):144–52. https://doi.org/10.1038/mt.2008.227</mixed-citation><mixed-citation xml:lang="en">Hauck B, Murphy SL, Smith PH, Qu G, Liu X, Zelenaia O, et al. Undetectable transcription of cap in a clinical AAV vector: Implications for preformed capsid in immune responses. Mol Ther. 2009;17(1):144–52. https://doi.org/10.1038/mt.2008.227</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Chadeuf G, Ciron C, Moullier P, Salvetti A. Evidence for encapsidation of prokaryotic sequences during recombinant adeno-associated virus production and their in vivo persistence after vector delivery. Mol Ther. 2005;12(4):744–53. https://doi.org/10.1016/j.ymthe.2005.06.003</mixed-citation><mixed-citation xml:lang="en">Chadeuf G, Ciron C, Moullier P, Salvetti A. Evidence for encapsidation of prokaryotic sequences during recombinant adeno-associated virus production and their in vivo persistence after vector delivery. Mol Ther. 2005;12(4):744–53. https://doi.org/10.1016/j.ymthe.2005.06.003</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Астапова ОВ, Берчатова АА. Генотерапевтические препараты: аспекты доклинического изучения безопасности. Безопасность и риск фармакотерапии. 2023;11(1):73–96. https://doi.org/10.30895/2312-7821-2023-11-1-329</mixed-citation><mixed-citation xml:lang="en">Astapova OV, Berchatova AA. Gene therapy medicinal products: Non-clinical safety studies. Safety and Risk of Pharmacotherapy. 2023;11(1):73–96 (In Russ.). https://doi.org/10.30895/2312-7821-2023-11-1-329</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Prince WS, Baker DL, Dodge AH, Ahmed AE, Chestnut RW, Sinicropi DV. Pharmacodynamics of recombinant human DNase I in serum. Clin Exp Immunol. 2001;113(2):289–96. https://doi.org/10.1046/j.1365-2249.1998.00647.x</mixed-citation><mixed-citation xml:lang="en">Prince WS, Baker DL, Dodge AH, Ahmed AE, Chestnut RW, Sinicropi DV. Pharmacodynamics of recombinant human DNase I in serum. Clin Exp Immunol. 2001;113(2):289–96. https://doi.org/10.1046/j.1365-2249.1998.00647.x</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Duong T, McAllister J, Eldahan K, Wang J, Onishi E, Shen K, et al. Improvement of precision in recombinant adeno-associated virus infectious titer assay with droplet digital PCR as an endpoint measurement. Hum Gene Ther. 2023;34(15–16):742–57. https://doi.org/10.1089/hum.2023.014</mixed-citation><mixed-citation xml:lang="en">Duong T, McAllister J, Eldahan K, Wang J, Onishi E, Shen K, et al. Improvement of precision in recombinant adeno-associated virus infectious titer assay with droplet digital PCR as an endpoint measurement. Hum Gene Ther. 2023;34(15–16):742–57. https://doi.org/10.1089/hum.2023.014</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Schnödt M, Büning H. Improving the quality of adeno-associated viral vector preparations: The challenge of product-related impurities. Hum Gene Ther Methods. 2017;28(3):101–8. https://doi.org/10.1089/hgtb.2016.188</mixed-citation><mixed-citation xml:lang="en">Schnödt M, Büning H. Improving the quality of adeno-associated viral vector preparations: The challenge of product-related impurities. Hum Gene Ther Methods. 2017;28(3):101–8. https://doi.org/10.1089/hgtb.2016.188</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
